Active NPI
Jenny M Feagan, CRNA
- Certified Registered Nurse Anesthetist
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 175526-030
- Practice address
- 500 S Oakwood Rd
Oshkosh, WI 54904-7944 - Phone
- (920) 223-2000
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 175526-030 | WI | Primary |
Addresses
Primary practice location
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Mailing address
3420 Jackson St
Suite E
Oshkosh, WI 54901-8144
Phone (920) 426-2211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110330000418 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6901089846 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4648 W Spencer St
Appleton, WI 54914-9106
Phone (920) 731-7557
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175526-030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Services of the Fox Valley SC | Current | Accepting new patients | |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
4648 W Spencer St
Appleton, WI 54914
Phone (920) 731-7557
1616 N Casaloma Dr
#200
Appleton, WI 54913
Phone (314) 550-0188
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1616 N Casaloma Dr
Appleton, WI 54913
Phone (920) 268-1516
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
1380 Tullar Rd
Neenah, WI 54956
Phone (920) 205-0379
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
3420 Jackson St
Ste E
Oshkosh, WI 54901
Phone (920) 426-2211
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered, WI
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1811292071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 JACKSON ST",
"address_2": "SUITE E",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549018144",
"telephone_number": "920-426-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S OAKWOOD RD",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549047944",
"telephone_number": "920-223-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEAGAN",
"first_name": "JENNY",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "175526-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.